Il mausoleo di Cecilia Metella tra documentazione grafica analogica e digitale: un approccio metodologico multidisciplinare

The paper presents the first results of the Cecilia Metella Project, at the Parco dell'Appia Antica. The prominent monument is dedicated to the noble Roman woman, whose life can only be deduced from what can be read from the epigraph carved in marble. Although the monument is probably the most famous and characteristic one of the regina viarum near the city, even today the knowledge of the mausoleum at least from the point of view of digital acquisition and analysis of the graphic documentation appears incomplete and therefore deserves to be deepening. The new technological frontiers and their integrated use in the field of cultural heritage allow scholars to have more accurate and complete tools at their disposal. These multidisciplinary applications make it possible to acquire, in a rapid and quick way, the physical and spatial dimension of very complex and stratified archaeological contexts such as the mausoleum of Cecilia Metella. In this context, the richness of the graphic evidence of the mausoleum allowed for in-depth comparative analyses regarding the iconographical documentation and its relationship with the physical monument acquired with modern survey techniques. This study therefore aims to update the state of the art of the tomb and to define a methodological protocol for the acquisition and critical analysis of the monument

Assessment of biventricular function by three-dimensional speckle tracking echocardiography in adolescents and young adults with human immunodeficiency virus infection. a pilot study.

Background. The purpose of the study was to assess biventricular parameters of wall deformation with three-dimensional speckle tracking echocardiography (3DSTE) in adolescents and young adults with human immunodeficiency virus infection (HIV) on antiretroviral therapy in order to detect a possible subclinical myocardial dysfunction. Methods. Twenty-one patients aged 12 to 39years with HIV, 21 normal controls of the same age and sex, and 21 patients with idiopathic non-ischemic dilated cardiomyopathy (DCM) were studied with 3DSTE. All HIV patients were stable in terms of HIV infection, with no history of heart disease or other chronic systemic disease except HIV infection, and were on highly active antiretroviral therapy (HAART) with good immunological control. Standard echocardiographic measures of LV-RV function were assessed. 3D LV global longitudinal strain (GLS), circumferential strain, radial strain and LV twist (TW) were calculated. Global area strain (GAS) was calculated by 3DSTE as percentage variation in surface area defined by the longitudinal and circumferential strain vectors. 3D right ventricular (RV) global and free-wall longitudinal strain were obtained. Results. LV GLS and GAS were lower in HIV patients compared to normal controls (p=0.002, and p=0.01, respectively). There were no significant differences in LV ejection fractions between the groups. There was a weak positive correlation between LV GLS and age (r=0.215, p=0.034) and a weak negative correlation between LV GLS and nadir-CD4 T-cells count (r=0.198, p=0.043). DCM patients had more marked and widespread reduction in LV GLS and GAS compared to controls (p<0.001), whereas in HIV patients LV strain impairment (p<0.05) was more localized in basal and apical regions. RV free-wall longitudinal strain was significantly reduced in HIV patients when compared with the control group (p=0.03). No patient had pulmonary systolic pressure higher than 35mmHg. Conclusions. Three-dimensional speckle tracking echocardiography may help to identify HIV patients at high cardiovascular risk allowing early detection of biventricular dysfunction in the presence of normal LV ejection fraction and in the absence of pulmonary hypertension. LV strain impairment in HIV patients is less prominent and widespread compared to DCM patients

Evaluating radon loss from water during storage in standard PET, bio-based PET, and PLA bottles

h i g h l i g h t s Radon loss from water during storage in polyethylene terephthalate (PET) and polylactic acid (PLA) bottles was evaluated. Surface/volume ratio and thickness of plastic materials were studied. A correction for dissolved radium concentration was applied to estimate gas loss. Proper corrections for degassing efficiency of aerators were developed. The interference of H 2 O on radon daughter electrostatic collection was quantified. a r t i c l e i n f o a b s t r a c t Polyethylene terephthalate (PET) and polylactic acid (PLA) bottles were tested to evaluate radon loss from water during 15 days of storage. PET bottles (lower surface/volume-ratio vials) lost 0.4e7.1% of initial radon, whereas PLA bottles lost 3.7% of it. PET bottles with volume of 0.5 L, lower surface/weight ratio, and hence higher thickness display proportionally reduced radon loss. Corrections for dissolved radium are needed during analyses. Formulas for calculating degassing efficiency and water interference on electrostatic collections are developed

Using a scale model room to assess the contribution of building material of volcanic origin to indoor radon

AbstractIn the frame of Radon rEal time monitoring System and Proactive Indoor Remediation (RESPIRE), a LIFE 2016 project funded by the European Commission, the contribution of building materials of volcanic origin to indoor radon concentration was investigated. First, total gamma radiation and related outdoor dose rates of geological materials in the Caprarola area (Central Italy) were measured to define main sources of radiation. Second, 222Rn and 220Rn exhalation rates of these rocks used as building materials were measured using an accumulation chamber connected in a closed loop with a RAD7 radon monitor. Among others, the very porous "Tufo di Gallese" ignimbrite provided the highest values. This material was then used to construct a scale model room of 62 cm × 50 cm × 35 cm (inner length × width × height, respectively) to assess experimental radon and thoron activity concentration at equilibrium and study the effects of climatic conditions and different coatings on radon levels. A first test was carried out at ambient temperature to determine experimental 222Rn and 220Rn equilibrium activities in the model room, not covered with plaster or other coating materials. Experimental 222Rn equilibrium was recorded in just two days demonstrating that the room "breaths", exchanging air with the outdoor environment. This determines a dilution of indoor radon concentration. Other experiments showed that inner covers (such as plasterboard and different kinds of paints) partially influence 222Rn but entirely cut the short-lived 220Rn. Finally, decreases in ambient temperature reduce radon exhalation from building material and, in turn, indoor activity concentration

Relationships between geogenic radon potential and gamma ray maps with indoor radon levels at Caprarola municipality (central Italy)

Exposures to relatively high indoor radon (222Rn) levels represents a serious public health risk because Rn is associated with lung cancer (Darby et al., 2001; WHO, 2009; Oh et al., 2016; Sheen et al., 2016). The risk is high because radon, and its short-lived decay products in the atmosphere, contributes for about 60% of the total annual effective dose (UNSCEAR, 2000; WHO, 2009). Cancer risk is increased by smoking being almost 9 times higher than the risk to non-smokers exposed to similar levels (EPA, 2009). Due to these reasons, it is very important to assess the indoor exposure of public to radon and their daughters. Rn is a natural ubiquitous gas and its abundance is mainly controlled by the geology, and in particular by the soil and rock content of its parent nuclide (238U). Furthermore, bedrock characteristics (i.e. permeability and porosity) and also fault activity can affect the amount of Rn released in the ground (Ciotoli et al., 2007; Barnet et al., 2018). As such, in conditions of permeable and/or fractured bedrock and high uranium content, high indoor radon concentrations are expected (Bossew and Lettner, 2007; Gruber et al., 2013; Cinelli et al., 2015; Ielsch et al., 2017; Ciotoli et al., 2017). A non-natural contribution that controls the indoor Rn levels is home construction type and building materials (Vauptic et al., 2002; Appleton, 2007). Additionally, meteorological factors, such as wind, temperature and humidity, can affect the rate of Rn entry into the buildings (Porstendörfer et al., 1994; Miles et al., 2005; Schubert et al., 2018). In this work, we propose a new geospatial technique to construct the geogenic radon potential (GRP) map of the Caprarola municipality (northern Lazio, central Italy) characterized by recent (about 100 Kyr) volcanic deposits with high content in radon parent nuclides (Ciotoli et al., 2017). GRP map has been obtained by using Empirical Bayesian Kriging Regression (EBKR) technique with soil gas radon, as the response variable, and a number of proxy variables (i.e. content of the radiogenic parent nuclides, the emanation coefficient of the outcropping rocks, the diffusive 222Rn flux from the soil, the soil-gas CO2 concentration, the Digital Terrain Model (DTM), the permeability of the outcropping rocks and the gamma dose radiation of the shallow lithology. Furthermore, possible relationships between predicted soil radon values (i.e. GRP) and gamma radiation distribution with the indoor concentrations measured in private and public buildings has been investigated, respectively. The obtained results confirm that GRP maps provide the local administration of a useful tool for land use planning and that, the mapping of gamma emission, allows to a fast and effective evaluation of indoor radon hazard because it is mainly influenced by the building materials rather than other anthropic controls

European Atlas of Natural Radiation

Natural ionizing radiation is considered as the largest contributor to the collective effective dose received by the world population. The human population is continuously exposed to ionizing radiation from several natural sources that can be classified into two broad categories: high-energy cosmic rays incident on the Earth’s atmosphere and releasing secondary radiation (cosmic contribution); and radioactive nuclides generated during the formation of the Earth and still present in the Earth’s crust (terrestrial contribution). Terrestrial radioactivity is mostly produced by the uranium and thorium radioactive families together with potassium. In most circumstances, radon, a noble gas produced in the radioactive decay of uranium, is the most important contributor to the total dose. This Atlas aims to present the current state of knowledge of natural radioactivity, by giving general background information, and describing its various sources. This reference material is complemented by a collection of maps of Europe displaying the levels of natural radioactivity caused by different sources. It is a compilation of contributions and reviews received from more than 80 experts in their field: they come from universities, research centres, national and European authorities and international organizations. This Atlas provides reference material and makes harmonized datasets available to the scientific community and national competent authorities. In parallel, this Atlas may serve as a tool for the public to: • familiarize itself with natural radioactivity; • be informed about the levels of natural radioactivity caused by different sources; • have a more balanced view of the annual dose received by the world population, to which natural radioactivity is the largest contributor; • and make direct comparisons between doses from natural sources of ionizing radiation and those from man-made (artificial) ones, hence to better understand the latter.JRC.G.10-Knowledge for Nuclear Security and Safet

The association of indwelling urinary catheter with delirium in hospitalized patients and nursing home residents: an explorative analysis from the "Delirium Day 2015"

Backround: Use of indwelling urinary catheter (IUC) in older adults has negative consequences, including delirium. Aim: This analysis, from the "Delirium Day 2015", a nationwide multicenter prevalence study, aim to evaluate the association of IUC with delirium in hospitalized and Nursing Homes (NHs) patients. Methods: Patients underwent a comprehensive geriatric assessment, including the presence of IUC; inclusion criteria were age > 65 years, being Italian speaker and providing informed consent; exclusion criteria were coma, aphasia, end-of-life status. Delirium was assessed using the 4AT test (score ≥ 4: possible delirium; scores 1-3: possible cognitive impairment). Results: Among 1867 hospitalized patients (mean age 82.0 ± 7.5 years, 58% female), 539 (28.9%) had IUC, 429 (22.9%) delirium and 675 (36.1%) cognitive impairment. IUC was significantly associated with cognitive impairment (OR 1.60, 95% CI 1.19-2.16) and delirium (2.45, 95% CI 1.73-3.47), this latter being significant also in the subset of patients without dementia (OR 2.28, 95% CI 1.52-3.43). Inattention and impaired alertness were also independently associated with IUC. Among 1454 NHs residents (mean age 84.4 ± 7.4 years, 70.% female), 63 (4.3%) had IUC, 535 (36.8%) a 4AT score ≥ 4, and 653 (44.9%) a 4AT score 1-3. The multivariate logistic regression analysis did not show a significant association between 4AT test or its specific items with IUC, neither in the subset of patients without dementia. Discussion: We confirmed a significant association between IUC and delirium in hospitalized patients but not in NHs residents. Conclusion: Environmental and clinical factors of acute setting might contribute to IUC-associated delirium occurrence

"Delirium Day": A nationwide point prevalence study of delirium in older hospitalized patients using an easy standardized diagnostic tool

Background: To date, delirium prevalence in adult acute hospital populations has been estimated generally from pooled findings of single-center studies and/or among specific patient populations. Furthermore, the number of participants in these studies has not exceeded a few hundred. To overcome these limitations, we have determined, in a multicenter study, the prevalence of delirium over a single day among a large population of patients admitted to acute and rehabilitation hospital wards in Italy. Methods: This is a point prevalence study (called "Delirium Day") including 1867 older patients (aged 65 years or more) across 108 acute and 12 rehabilitation wards in Italian hospitals. Delirium was assessed on the same day in all patients using the 4AT, a validated and briefly administered tool which does not require training. We also collected data regarding motoric subtypes of delirium, functional and nutritional status, dementia, comorbidity, medications, feeding tubes, peripheral venous and urinary catheters, and physical restraints. Results: The mean sample age was 82.0 ± 7.5 years (58 % female). Overall, 429 patients (22.9 %) had delirium. Hypoactive was the commonest subtype (132/344 patients, 38.5 %), followed by mixed, hyperactive, and nonmotoric delirium. The prevalence was highest in Neurology (28.5 %) and Geriatrics (24.7 %), lowest in Rehabilitation (14.0 %), and intermediate in Orthopedic (20.6 %) and Internal Medicine wards (21.4 %). In a multivariable logistic regression, age (odds ratio [OR] 1.03, 95 % confidence interval [CI] 1.01-1.05), Activities of Daily Living dependence (OR 1.19, 95 % CI 1.12-1.27), dementia (OR 3.25, 95 % CI 2.41-4.38), malnutrition (OR 2.01, 95 % CI 1.29-3.14), and use of antipsychotics (OR 2.03, 95 % CI 1.45-2.82), feeding tubes (OR 2.51, 95 % CI 1.11-5.66), peripheral venous catheters (OR 1.41, 95 % CI 1.06-1.87), urinary catheters (OR 1.73, 95 % CI 1.30-2.29), and physical restraints (OR 1.84, 95 % CI 1.40-2.40) were associated with delirium. Admission to Neurology wards was also associated with delirium (OR 2.00, 95 % CI 1.29-3.14), while admission to other settings was not. Conclusions: Delirium occurred in more than one out of five patients in acute and rehabilitation hospital wards. Prevalence was highest in Neurology and lowest in Rehabilitation divisions. The "Delirium Day" project might become a useful method to assess delirium across hospital settings and a benchmarking platform for future surveys